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Neurosurgical lesions of the pineal region are extremely rare, accounting for roughly 1% of the total number of neurosurgical expansive lesions in modern practice. This book offers an up-to-date review of the relevant literature, combined with the personal perspectives of some highly experienced figures in the field. The book is divided into two main parts, the first of which offers an overview of the pineal region from an anatomic, pathologic, imaging and therapeutic perspective. Special attention is given to surgical approaches to pineal region lesions. Microsurgical techniques are presented, together with detailed indications regarding specific locations of these lesions, specific complications, and controversial aspects concerning some of the approaches. A dedicated chapter addresses endoscopic techniques, their indications and limitations. Adjuvant therapies are also discussed, along with their particular indications and debated aspects.In turn, the chapters in the second part cover specific lesions such as pineal region tumors, vascular lesions, and cystic and cyst-like lesions. Regarding pineal region tumors, the most frequent pathologies are presented in the most comprehensive and practical manner possible, with special attention to the appropriate therapeutic management for each type. Further, there is a dedicated chapter on pineal region cysts. Given its depth of content, the book will allow neurosurgeons and specialists to greatly expand their understanding of pineal region lesions in daily clinical practice.
This book offers a comprehensive overview of the surgical techniques available in reconstruction of the paralyzed face. It is divided into six parts. The first part introduces the topic of facial palsy, and the following parts provide detailed information on facial nerve reconstruction techniques, management of eye closure and smile reanimation. The book highlights symmetrization techniques and synkinesis and presents innovations and new frontiers in facial palsy.Written by an international group of experts who are committed to maintaining high standards and service in treating this condition and improving outcomes, it is a valuable source of information for clinicians and practitioners in plastic and reconstructive surgery, neurosurgeons and oral-and-maxillofacial surgeons, but also useful for researchers in this field.
This book contains the expert knowledge base of the field¿s most experienced practitioners in the field of extradural bone and soft tissue malignancy. Chapters include modern classification, advanced anatomy, imaging, and the concepts around a multidisciplinary approach. Since treating primary tumors requires very different strategies than those used in metastatic tumors, the book devotes separate sections to each sub-discipline. For primary tumors, the text covers both benign and malignant entities and addresses unique anatomic zones such as the sacrum and skull base which require special technical expertise. For metastatic disease, the authors address the ever-important concept of prognosis, and discuss how to answer the eternal question: ¿How much should we do, and for whom?¿. Chapters also explore the state of the art of treatment for the ¿big 5¿ histologies (renal cell, lung, breast, prostate, thyroid), with a special chapter emphasis on separation surgery and the now-standard combinatorial care between radiation and surgery. In addition, an entire section is dedicated to evolving surgical technology, which covers the use of minimally invasive techniques, navigation, robotics, 3D-printing, and other evolving technologies for spine tumor care. Infrequently-considered topics, such as how to evaluate a lesion which may be a tumor-mimic, and how to think about economic value in spine tumor surgery, are also presented.Surgical Spinal Oncology serves to help surgeons approach difficult clinical scenarios with a thoughtful, collaborative approach that leverages the best technology and thinking the field of spine oncology has to offer.
This book provides primary care clinicians, researchers, and educators with a guide that helps facilitate comprehensive, evidenced-based healthcare of women and gender diverse populations. Many primary care training programs in the United States lack formalized training in women¿s health, or if they do, the allotted time for teaching is sparse. This book addresses this learning gap with a solid framework for any program or individual interested in learning about or teaching women¿s health. It can serve as a quick in-the-clinic reference between patients, or be used to steer curricular efforts in medical training programs, particularly tailored to internal medicine, family medicine, gynecology, nursing, and advanced practice provider programs. Organized to cover essential topics in women¿s health and gender based care, this text is divided into eight sections: Foundations of Women's Health and Gender Based Medicine, Gynecologic Health and Disease, Breast Health and Disease, Common Medical Conditions, Chronic Pain Disorders, Mental Health and Trauma, Care of Selected Populations (care of female veterans and gender diverse patients), and Obstetric Medicine. Using the Maintenance of Certification (MOC) and American Board of Internal Medicine blueprints for examination development, authors provide evidence-based reviews with several challenge questions and annotated answers at the end of each chapter. The epidemiology, pathophysiology, evaluation, diagnosis, treatment, and prognosis of all disease processes are detailed in each chapter. Learning objectives, summary points, certain exam techniques, clinical pearls, diagrams, and images are added to enhance reader¿s engagement and understanding of the material. Written by experts in the field, Sex and Gender-Based Women's Health is designed to guide all providers, regardless of training discipline or seniority, through comprehensive outpatient women¿s health and gender diverse care.
This book is a practical guide on image-guided robotic (CyberKnife®) radiosurgery of the brain and the spine. The volume introduces the radiosurgical community to the potential of image-guidance in the treatment of neurosurgical diseases including neuro-oncological, vascular and functional disorders. Principles of image-guided radiosurgery, including physics and radiobiology are considered. Each chapter provides a critical review of the literature and analyses of several aspects to offer an assessment of single and hypofractionated treatments. Based on the authors¿ experience, tables or summaries presenting the treatment approaches and associated risks are included as well. Providing a practical guide to define the selection of dose, fractionation schemes, isodose line, margins, imaging, constraints to the structures at risk will support safe practice of neuroradiosurgery. This book aims to shed new light on the treatment of neoplastic and non-neoplastic diseases of the central nervous system using the CyberKnife® image-guided robotic radiosurgery system. It will be adopted by neurosurgery residents and neurosurgery consultants as well as residents in radiation oncology and radiation oncologists; medical physicists involved in radiosurgery procedures may also benefit from this book.
Solid organ transplantation offers a new chance at life to those suffering from failing organs. With these successes, however, comes the everyday management that is required to maintain health. The field of solid organ transplantation has become a part of medicine that generalists should be familiar with, as recipients are living longer and frequently returning to primary care for management. While specialists will still need to be involved with the care of solid organ transplant recipients on a life-long basis, many conditions will still need initial and often ongoing care by generalists, including infections, metabolic conditions, psychiatric illnesses, and malignancy.This book focuses on the care of adult solid organ transplant recipients, and is targeted at the level of the primary care provider. It begins with an introduction and overviews of solid organ transplantation and anti-rejection medications. It then delves into organ-specific chapters that provide the primary care provider with an overview of how to take care of patients with the most commonly-transplanted solid organs: kidney, kidney-pancreas, liver, heart, and lung. The final section focuses on specific complications that arise from transplantation including cancer, metabolic conditions, infections, and common presenting syndromes. Preventative health is also discussed, and the book concludes with a chapter on palliative care.Primary Care of the Solid Organ Transplant Recipient is a unique text that provides the reader with organ and complication-specific sections that can be independently read as they relate to the individual physicians and their patients. Written by experts in the field, this text is a valuable resource for primary care providers, medical students, residents and anyone involved in the care of solid organ transplant recipients.
The incidence and prevalence of post-traumatic arthritis (PTA) is increasing globally due to longevity of life and increased activity and injuries. Compared to the non-traumatic etiology of arthritis, post-traumatic arthritis differs in presentation, severity and complexity of management. This book illustrates all pertinent facets of post-traumatic arthritis, from the basic science and diagnostic modalities to their management and outcomes. The opening section reviews the current scientific literature on PTA and presents the preferred imaging techniques and interpretation methods. A unique chapter on the economic impact of PTA is also included here. The subsequent two sections discuss both the upper and lower extremity, respectively, with each joint covered in a dedicated chapter of its own, describing the mechanisms of injury, assessment, management strategies and outcomes. Case material provides real-world context for the concepts and techniques presented, supported by generous radiology and intraoperative photos and figures.With Post-Traumatic Arthritis, orthopedic surgeons, as well as trauma surgeons, rheumatologists and associated clinical staff, will receive a comprehensive framework on which to base their clinical decisions and enhance their post-operative outcomes.
This book provides a comprehensive overview of benign hematologic disorders in children. Divided into nine sections, the text reviews common hematologic disorders or conditions that affect children, while providing state-of-the-art information on pathophysiology, diagnosis, treatment, and management strategies.The text begins with a section on hematopoiesis, and the next section covers red blood cell disorders. The following sections provide overviews of platelet disorders, white blood cell disorders, and coagulation disorders. The sixth and seventh sections discuss neonatal hematology and bone marrow failure syndrome. The eighth section reviews supportive care, while the final section covers miscellaneous subjects including pediatric vascular anomalies and complement dysregulation syndromes.Written by experts in the field, Benign Hematologic Disorders in Children: A Clinical Guide is a valuable resource for clinicians and practitioners who treat children afflicted with these disorders.
This book provides a practical guide to the diagnosis of cervical lesions. Chapters detail recent changes to diagnostic criteria and classification and the impacts these developments have on patient management. The anatomy and histology of the cervix are discussed, along with macroscopic and microscopic changes, prognostic and predictive parameters, epidemiological data, and staging systems.Atlas of Diagnostic Pathology of the Cervix: A Case-Based Approach utilizes diagnostic algorithms and highlights to offer readers appropriate management criteria and aims to give trainees, practicing pathologists, and gynecologists a case-based approach to the treatment of cervical lesions.
The fifth edition of this book presents clinical data, image acquisition, and interpretation of nuclear cardiology procedures through high quality illustrative image examples. It includes up-to-date and comprehensive coverage of advances in instrumentation, radiotracers, protocols, and clinical studies. New content includes indications in imaging cardiac sarcoidosis, amyloidosis, and device infections as well as recent advances in instrumentation (Hybrid PET/MR). It also provides fresh chapters on the history of nuclear cardiology imaging, radionuclide handling techniques and radiation safety, PET-based myocardial perfusion imaging, and vascular imaging. The entire field is presented in pictographic form that is visually pleasing and conforming to current trends of medical education. The fifth edition of the Atlas of Nuclear Cardiology is an essential reference for cardiologists, radiologists, and nuclear medicine physicians interested in the latest approaches to noninvasive diagnostic cardiovascular nuclear imaging techniques. It also serves as a ready reference textbook for medical students and residents as well as nuclear physicists, nuclear medicine technologists, and radiopharmacists.
This book is a comprehensive guide to the rapidly evolving field of contrast-enhanced ultrasound (CEUS) in the child. The uses and interpretation of CEUS are clearly explained with the aid of numerous illustrations. The coverage encompasses both established indications, such as focal liver lesions, abdominal solid organ injury, and vesicoureteral reflux, and a range of newer applications. Extensive information is also provided on microbubble agents and their use in the pediatric age group, as well as on practical aspects of setting up a CEUS service for children.CEUS is a safe imaging method that is ideal for the young patient and can be used for problem solving in a number of clinical situations. Ultrasound combined with microbubble contrast avoids the ionizing radiation of a CT examination, the use of iodinated contrast, the need for sedation or a general anesthetic, and the complexities of MR imaging. In bringing readers up to date with best practice and the latest innovations in CEUS, this book will be of value for pediatric radiologists, pediatric sonographers/technicians, and pediatricians.
Popliteal aneurysms are still controversial in terms of their pathogenesis, and challenging in terms of their treatment. This book offers a detailed overview of the latest advances in our understanding of the disease, and highlights the latest theories. Divided into eght sections, it focuses on: the historical background, embryology and anatomy of the popliteal artery, clinical presentation and diagnosis, pros and cons of traditional surgical techniques, pros and cons of advanced endovascuar techniques. The last section focuses on non-atherosclerotic popliteal aneurysme, i.e. on diseases in which popliteal aneurysms may specifically appear, rendering more challenging the diagnosis and the treatment As stressed in the foreword by the Chief Editor of the Journal of Vascuar Surgery, this book, given its scope, offers a valuable guide for all health professionals - experts and in training -.involved in vascular pathology and surgery.
While the management of meniscal pathology is addressed in many large sports medicine textbooks, this dedicated book on the topic is a major addition to the information currently available for orthopedic surgeons and sports medicine specialists, residents and fellows. As symptomatic meniscal tears remain among the most common musculoskeletal problems that are seen and treated, this up-to-date book on the evaluation and management of meniscal pathology, focused on current techniques and available evidence in the literature, is therefore extremely useful.To that end, The Management of Meniscal Pathology: From Meniscectomy to Repair and Transplantation is a comprehensive resource reviewing all aspects of managing symptomatic meniscal pathology. It is structured to proceed logically through an understanding of the anatomy and biomechanical importance of the meniscus in normal knee kinematics to the evaluation and treatment of meniscal tears and meniscalinsufficiency. The chapters dedicated to the surgical management of meniscal pathology - including partial meniscectomy, meniscus repair, meniscal root repair and meniscal allograft transplantation - include step-by-step descriptions of various operative techniques, including pearls and pitfalls for the reader in addition to classic case examples. Non-operative approaches, as well as novel and emerging strategies and materials, are also highlighted, providing a well-rounded presentation of available techniques and outcomes.
While the management of meniscal pathology is addressed in many large sports medicine textbooks, this dedicated book on the topic is a major addition to the information currently available for orthopedic surgeons and sports medicine specialists, residents and fellows. As symptomatic meniscal tears remain among the most common musculoskeletal problems that are seen and treated, this up-to-date book on the evaluation and management of meniscal pathology, focused on current techniques and available evidence in the literature, is therefore extremely useful.To that end, The Management of Meniscal Pathology: From Meniscectomy to Repair and Transplantation is a comprehensive resource reviewing all aspects of managing symptomatic meniscal pathology. It is structured to proceed logically through an understanding of the anatomy and biomechanical importance of the meniscus in normal knee kinematics to the evaluation and treatment of meniscal tears and meniscal insufficiency. The chapters dedicated to the surgical management of meniscal pathology - including partial meniscectomy, meniscus repair, meniscal root repair and meniscal allograft transplantation - include step-by-step descriptions of various operative techniques, including pearls and pitfalls for the reader in addition to classic case examples. Non-operative approaches, as well as novel and emerging strategies and materials, are also highlighted, providing a well-rounded presentation of available techniques and outcomes.
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